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NPI Code Detail

MEDICARE: ALISON BORRELLI LICSW

MEDICARE: ALISON BORRELLI LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker120951MA

General Provider Information

NPI Number : 1053899245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON BORRELLI LICSW
Provider Business Mailing Address
First Line : 77 HANCOCK ST APT 4
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-2229
Country : US
Telephone Number : 713-859-7975
Fax Number :
Provider Business Practice Location Address
First Line : 99 LORING DR
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-8785
Country : US
Telephone Number : 508-532-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 07/31/2018

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Directions to “ ALISON BORRELLI LICSW” Practice Location

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